| NPI | 1275910523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP137579) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ RN159833) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28221435A) | |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2018-07-12 |